What is the prevalence of tibia and fibula fracture?

Updated: Nov 30, 2017
  • Author: Jeffrey G Norvell, MD, MBA, RDMS; Chief Editor: Trevor John Mills, MD, MPH  more...
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Answer

Fractures of the tibia are the most common long bone fractures. The annual incidence of open fractures of long bones is estimated to be 11.5 per 100,000 persons, with 40% occurring in the lower limb. [10] The most common fracture of the lower limb occurs at the tibial diaphysis. [11] Isolated midshaft or proximal fibula fractures are uncommon.

Toddler fracture (distal spiral fracture of the tibia) is most common in children aged 9 months to 3 years. The majority of uncomplicated toddler fractures of the tibia do not need an orthopaedic surgeon's intervention or follow-up. In a study of the National Pediatric Trauma Registry for children and adolescents with compartment syndrome over a 51-month period, 133  cases were identified. Boys outnumbered girls 4 to 1, the median age was 12 years, and peak incidence was in patients aged 10 to 14 years. [12, 13, 14]

Tibial plateau fractures are common in the elderly population after a low-energy mechanism. Fractures in elderly patients may be complicated by osteoporosis, osteoarthritis, and medical comorbidities. [15]


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